Oho K, Toyonaga A
Second Department of Medicine, Kurume University School of Medicine.
Nihon Rinsho. 1998 Sep;56(9):2325-30.
Endoscopic injection sclerotherapy and/or endoscopic variceal ligation are well accepted and established in the treatment of bleeding esophageal varices. Endoscopic treatment for bleeding gastric varices is behind in hemostatic rate by 5% ethanolamine oleate as sclerosant. However, since cyanoacrylate is employed as endoscopic injection sclerosant, hemostatic rate was greatly improved especially for the bleeding large gastric varices. In addition angiographic sclerotherapy (balloon occluded retrograde transvenous obliteration) is highly effective for large gastric fundal varices and no rebleeding is expected when successfully done. Endoscopic and angiographic sclerotherapy made great improvement in the treatment of esophagogastric varices.
内镜下注射硬化疗法和/或内镜下静脉曲张结扎术在治疗食管静脉曲张出血方面已被广泛接受并确立。以5%油酸乙醇胺作为硬化剂的内镜下治疗胃静脉曲张出血的止血率较低。然而，自从使用氰基丙烯酸酯作为内镜下注射硬化剂以来，止血率有了很大提高，尤其是对于大出血的胃静脉曲张。此外，血管造影硬化疗法（球囊闭塞逆行静脉栓塞术）对胃底大静脉曲张非常有效，成功实施后预计不会再出血。内镜和血管造影硬化疗法在食管胃静脉曲张的治疗方面取得了很大进展。
